Healthcare Provider Details

I. General information

NPI: 1427848662
Provider Name (Legal Business Name): MAJESTIC MANOR SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5913 S ARIZONA PL
CHANDLER AZ
85249-2416
US

IV. Provider business mailing address

5913 S ARIZONA PL
CHANDLER AZ
85249-2416
US

V. Phone/Fax

Practice location:
  • Phone: 480-388-6417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: VANESSA W NJOROGE
Title or Position: OWNER
Credential:
Phone: 480-388-6417